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BILL OF LADING <br /> 3909 Park Road, Suite D <br /> WIRONN EWAL SERVICES Benicia, CA 94510 <br /> GROUP (877)748-3040 <br /> Western Region <br /> DELIVERY DATE JOB _rzea <br /> SHIPPER/CUSTOMER POINT OF CONTACT <br /> \DDRESS° PHONE# <br /> ;ITY,STATE,ZIP <br /> ;.-111 C -1K1204 <br /> '.ARRIER/TRANSPORTER PHONE# <br /> j k <br /> :ONSIGNEE!FACIUTY POINT OF CONTACT <br /> 1DDRESS PHONE# <br /> kr'S�gzp AY �-,�a c: rd �.':s3C•'t i,}i?.-.{t-�:'_ <br /> s <br /> :17Y,STATE,ZIP <br /> }'H. Ie. .. <br /> 6: <br /> 3 <br /> ipecial Handling Instruction and Additional Information: <br /> }; g ,���t g{gxxrr��tt���� MON <br /> /� � _ <br /> a! FRPT d) -01 - `104 Pi1lAEff. OMS, A ON SOLD 1.30 1, 44 rl ryry{fi t� {�tC . _ y�,(�� a�`4 :ett11 �t.. ,J'�f �, X?Y [k`'.i: -.�r`4.(,r�i�� ty t=c x'�[ SN' <br /> - ii 3c r � �)t. }f, ....1:.x.. .70.+.,i�c,.�� S,5 w..2j.. .., ._ �a�,., _� Fps z N'SN' <br /> £t Vit. St §43!-'4§. 11175) t'r`. 11. MUM-! tf-CMA:?tf 4935 <br /> f <br /> t <br /> lacards Provided YES NO Emergency Phone#(077) 748-3040 <br /> SHIPPER'S CERTIFICATION:1 hereby declaredthat the contents of this consignment are fully and accurately described above by proper shipping name and are classified,padted; <br /> narked,and labeled,and are in all respects in proper condition for tfansport by highway,vessel,and rail according to applicable intemationat and national <br /> government regulations. <br /> SHIPPER)PRINT OR TYPE NAME SIGNATOR <br /> . -_ ; .:. � .__-, MONTH DAY YEAR <br /> K <br /> :CARRIER/TRANSPORTER)PRINT OR TYPENAME SIGNATURE Mourn DAY YEM <br /> K r X <br /> :/CONSIGNEE/FACIUTY)PRINT OR TYPE NAME - SIGNATURE; MONIH DA`s 3 4R <br /> ry X `' 3 k f y�� v.=2 Jr... ^- i t i{. !) <br /> V T t <br /> -orm#PSC-201-RV 6/04 1 , <br /> SHIPPER <br />